Get In State Form 14072 2004-2025

Filling out the IN State Form 14072 online is an essential process for reporting incidents related to animal bites in Indiana. This guide provides clear instructions to help users navigate each section of the form effectively.

Follow the steps to complete the IN State Form 14072 accurately

1. Press the ‘Get Form’ button to acquire the form and open it in your preferred online editor.
2. Fill in the reporting agency case number at the top of the form. This number is crucial for tracking the report within the agency's system.
3. Provide the incident location address where the animal bite occurred. Ensure that the address is complete, including the street, city, and zip code.
4. Enter the name of the person reporting the incident followed by their contact information, including home and work telephone numbers.
5. Specify whether the incident occurred on or off property and the time and date the report was received.
6. Select the victim type by circling either 'Human' or 'Animal' and indicate age group by circling 'Juvenile' or 'Adult'.
7. Fill out the owner information including the owner's name, address, and contact details as they relate to the animal involved.
8. Complete the victim information section if the victim is a person. Provide full name, address, and contact numbers.
9. Indicate the type of animal involved by selecting from 'Dog', 'Cat', or other options. Include details about the animal such as breed, color, markings, and whether the animal is neutered.
10. Provide vaccination information, including rabies vaccine date and microchip number if available.
11. Describe the incident, including the actions taken following the bite and any statements from witnesses or victims.
12. Review the entire form for accuracy and completeness before proceeding to save, download, print, or share your completed form.

Ensure that you complete your documents online for a hassle-free submission process.